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EP3320895B1 - Préparation orale à action rapide augmentant le taux d'arginine sanguine et comprenant de la citrulline et de l'arginine - Google Patents

Préparation orale à action rapide augmentant le taux d'arginine sanguine et comprenant de la citrulline et de l'arginine Download PDF

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Publication number
EP3320895B1
EP3320895B1 EP17204001.6A EP17204001A EP3320895B1 EP 3320895 B1 EP3320895 B1 EP 3320895B1 EP 17204001 A EP17204001 A EP 17204001A EP 3320895 B1 EP3320895 B1 EP 3320895B1
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Prior art keywords
arginine
citrulline
salt
blood
oral preparation
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German (de)
English (en)
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EP3320895A1 (fr
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Masayuki Ochiai
Koji Morishita
Toshio Hayashi
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Nagoya University NUC
Kyowa Hakko Bio Co Ltd
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Nagoya University NUC
Kyowa Hakko Bio Co Ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
    • A61K31/198—Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L2/00—Non-alcoholic beverages; Dry compositions or concentrates therefor; Preparation or treatment thereof
    • A23L2/52—Adding ingredients
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/17—Amino acids, peptides or proteins
    • A23L33/175—Amino acids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/20—Pills, tablets, discs, rods
    • A61K9/2004—Excipients; Inactive ingredients
    • A61K9/2022—Organic macromolecular compounds
    • A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/20—Pills, tablets, discs, rods
    • A61K9/2004—Excipients; Inactive ingredients
    • A61K9/2022—Organic macromolecular compounds
    • A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054—Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00—Drugs for genital or sexual disorders; Contraceptives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00—Drugs for genital or sexual disorders; Contraceptives
    • A61P15/10—Drugs for genital or sexual disorders; Contraceptives for impotence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P21/00—Drugs for disorders of the muscular or neuromuscular system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P21/00—Drugs for disorders of the muscular or neuromuscular system
    • A61P21/04—Drugs for disorders of the muscular or neuromuscular system for myasthenia gravis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A61P3/02—Nutrients, e.g. vitamins, minerals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A61P7/10—Antioedematous agents; Diuretics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A61P9/08—Vasodilators for multiple indications
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00—Food compositions, function of food ingredients or processes for food or foodstuffs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/13—Amines
    • A61K31/155—Amidines (), e.g. guanidine (H2N—C(=NH)—NH2), isourea (N=C(OH)—NH2), isothiourea (—N=C(SH)—NH2)
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines

Definitions

  • the present invention relates to the use of a rapid-acting, blood arginine level-increasing oral preparation comprising citrulline or a salt thereof and arginine or a salt thereof, which is capable of increasing the blood arginine level rapidly and effectively.
  • Arginine is an amino acid to be a direct substrate of nitric oxide (NO) synthase. Moreover, it is an intermediate in the urea cycle in the liver, and plays an important role in detoxication of ammonia produced in the body. As its physiological actions, vasodilation due to oral ingestion of arginine (non-patent document 1), suppression of blood pressure increase (non-patent document 2), improvement of sexual function (non-patent document 3) and the like have been reported.
  • NO nitric oxide
  • arginine is known to have a growth hormone secretory action (non-patent document 4). Since the growth hormone has an action to promote protein synthesis, sugar metabolism, lipid metabolism and the like, ingestion of arginine is expected to provide a muscle synthesis action and a wound healing action. In addition, there are many effects exerted by oral ingestion by animals and human, such as ammonia detoxication (non-patent document 5), immunostimulation (non-patent document 6), insulin secretion (non-patent document 7), polyamine synthesis action (non-patent document 8) and the like.
  • enhancement of the arginine level of the body is considered to be useful for maintenance of health and improvement of disease condition.
  • arginine is ingested in the form of pharmaceutical products, functional foods and the like with an expectation of such effects.
  • citrulline is not used as a starting material for the synthesis of protein in the body, and is one kind of amino acid present in a free form. In the body, citrulline plays an important role as an arginine precursor for arginine biosynthesis or a constituent factor of NO cycle relating to NO supply.
  • non-patent document 9 It is known that orally ingested citrulline is mostly converted to arginine in the kidney and arginine is efficiently supplied systemically (non-patent document 9). To increase blood arginine level, ingestion of citrulline is reported to be more effective than ingestion of arginine itself (non-patent document 10). In addition, it is reported that ingestion of citrulline and arginine in combination enhances NO production and strengthen an anti-arteriosclerosis action, rather than individual ingestion of each (non-patent document 11). However, there are effects provided by long-term ingestion.
  • patent document 1 relates to a nutritional composition which is reported to enhance lean muscle stimulus.
  • An object of the present invention is to provide an oral preparation for use in rapidly and effectively increasing blood arginine level after ingestion.
  • an oral preparation as defined in the appended claims which comprises citrulline or a salt thereof and arginine or a salt thereof as active ingredients, can increase blood arginine level rapidly after oral ingestion, which resulted in the completion of the present invention.
  • the present invention can rapidly and effectively increase arginine blood level, various symptoms caused by decreased blood flow or increased blood ammonia level can be improved in a short time. Moreover, since the oral preparation used in the present invention is highly safe, development of the symptom can be effectively prevented by ingesting the preparation not only before predictable development of the symptom but routinely.
  • the present invention relates to the use of a rapid-acting, blood arginine level-increasing oral preparation (sometimes to be referred to as the oral preparation of the present invention) comprising citrulline or a salt thereof and arginine or a salt thereof as active ingredients.
  • a rapid-acting, blood arginine level-increasing oral preparation (sometimes to be referred to as the oral preparation of the present invention) comprising citrulline or a salt thereof and arginine or a salt thereof as active ingredients.
  • the "rapid-acting, blood arginine level-increasing oral preparation” is an oral preparation that rapidly increases blood arginine level by oral ingestion by or oral administration to human or animals other than human.
  • the oral preparation of the present invention can rapidly increase blood arginine level in the body.
  • "increase blood arginine level” means increasing the area under the blood concentration-time curve (AUC) of arginine as compared to single administration of each of arginine or a salt thereof or citrulline or a salt thereof.
  • AUC blood concentration-time curve
  • the "area under the blood concentration-time curve (AUC)” refers to the area enclosed by the curve (blood drug concentration-time curve) and the horizontal axis (temporal axis) in a graph showing the time-course progress of blood concentration of a drug and the like, and is a useful index of drug amount in the body and the like.
  • citrulline and arginine to be used in the present invention may be in any of the L-form, D-form and DL-form, L-form is preferable.
  • citrulline and arginine and salts thereof to be used in the present invention can be obtained by a method including isolating and purifying them from animals and plants containing a large amount thereof, a method including chemical synthesis, a method including fermentation production and the like.
  • commercially available products thereof can also be purchased from, for example, Sigma-Aldrich and the like.
  • Examples of the salts of citrulline and arginine to be used in the present invention include acid addition salts, metal salts, ammonium salts, organic amine addition salts, amino acid addition salts and the like.
  • Examples of the above-mentioned acid addition salt include inorganic acid salts such as hydrochloride, sulfate, nitrate, phosphate and the like, organic salts such as acetate, maleate, fumarate, citrate, malate, lactate, ⁇ -ketoglutarate, gluconate, caprylate and the like.
  • metal salts examples include alkali metal salts such as sodium salt, potassium salt and the like, alkaline earth metal salts such as magnesium salt, calcium salt and the like, aluminum salt, zinc salt and the like.
  • ammonium salt examples include salts of ammonium, tetramethylammonium and the like.
  • organic amine addition salt examples include salts of morpholine, piperidine and the like.
  • amino acid addition salt examples include salts of glycine, phenylalanine, lysine, aspartic acid, glutamic acid and the like.
  • citrulline malate is preferable.
  • arginine hydrochloride and aspartate are preferable.
  • citrulline or a salt thereof and arginine or a salt thereof can be directly ingested or administered. It is generally desirable to provide them in the form of various preparations.
  • the above-mentioned preparation of the present invention contains citrulline or a salt thereof and arginine or a salt thereof as active ingredients, and may further contain any active ingredient.
  • Such preparation is produced by mixing the active ingredients with one or more kinds of pharmacologically acceptable carriers, and according to any method well-known in the technical field of pharmaceuticals.
  • Examples of the dosage form of the oral preparation of the present invention include tablet, powder, granule, emulsion, syrup, capsule and the like, with preference given to tablet and granule.
  • additives such as excipient, binder, disintegrant, lubricant, dispersing agent, suspending agent, emulsifier, diluent, buffer, antioxidant, bacteria suppressive agent, corrigent, flavor, colorant and the like can be used.
  • the dosage form of the oral preparation is tablet, powder, granule and the like, saccharides such as lactose, sucrose, glucose, saccharose, mannitol, sorbitol and the like, starch such as potato, wheat, corn and the like, inorganic material such as calcium carbonate, calcium sulfate, sodium hydrogen carbonate, sodium chloride and the like, excipient such as plant powder (Glycyrrhiza uralensis, Gentiana lutea powder etc.) and the like, disintegrant such as starch, agar, gelatin powder, crystalline cellulose, carmellose sodium, carmellose calcium, calcium carbonate, sodium hydrogen carbonate, sodium alginate and the like, lubricant such as magnesium stearate, talc, hydrogenated vegetable oil, macrogol, silicon oil and the like, binder such as polyvinyl alcohol, hydroxypropylcellulose, methylcellulose, ethylcellulose, carmellose, gelatin, starch glue solution and the like
  • the dosage form of the oral preparation is a liquid preparation such as syrup and the like, water, saccharides such as saccharose, sorbitol, fructose and the like, glycols such as polyethylene glycol, propylene glycol and the like, oils such as sesame oil, olive oil, soybean oil and the like, preservative such as p-hydroxybenzoic acid esters and the like, flavors such as strawberry flavor, peppermint etc. and the like can be added for formulation of the preparation.
  • saccharides such as saccharose, sorbitol, fructose and the like
  • glycols such as polyethylene glycol, propylene glycol and the like
  • oils such as sesame oil, olive oil, soybean oil and the like
  • preservative such as p-hydroxybenzoic acid esters and the like
  • flavors such as strawberry flavor, peppermint etc. and the like
  • citrulline or a salt thereof and arginine or a salt thereof may be contained in the same oral preparation, or each material may be separately formulated into a preparation, and they may be combined and used as a rapid-acting, blood arginine level-increasing oral preparation in the form of a kit or set (hereinafter sometimes to be simply referred to as a kit etc.).
  • Respective oral preparations contained in the above-mentioned kit etc. may be in any form as long as they are individually present.
  • respective oral preparations may be in different dosage forms, or may be individually packaged, or may be enclosed in the same container.
  • the oral preparation of the present invention may be used as is or as foods or drinks such as health food, functional food, dietary supplement, food for specified health uses and the like in the form of, for example, powder food, sheet-like food, bottled food, canned food, retort food, capsule food, tablet-like food, fluid diet, drinkable preparation and the like by adding additive to be generally used for food or drink.
  • additive include sweetener, colorant, preservative, thickening stabilizer, antioxidant, color developing agent, brightener, fungicide, gum base, bittering agent, enzyme, glossing agent, acidulant, seasoning, emulsifier, toughening agent, agent for production, flavor, spice extract and the like.
  • the food or drink are health food, functional food, dietary supplement, food for specified health uses and the like
  • a form wherein citrulline or a salt thereof and arginine or a salt thereof for unit ingestion is packed or a drink containing citrulline or a salt thereof and arginine or a salt thereof suspended or dissolved therein is filled in a bottle and the like for a single consumption and the like can be mentioned.
  • the contents of citrulline or a salt thereof and arginine or a salt thereof in the oral preparation of the present invention are appropriately determined depending on the kind of preparation, effects expected by the administration or ingestion of the preparation and the like.
  • the total amount of citrulline or a salt thereof and arginine or a salt thereof is generally 0.1 - 100 wt%, preferably 0.5 - 80 wt%, particularly preferably 1 - 70 wt%, based on free citrulline and arginine.
  • the composition ratio in weight of citrulline or a salt thereof and arginine or a salt thereof in the oral preparation of the present invention is 1:2 - 2:1, based on free citrulline and arginine.
  • the total amount of citrulline or a salt thereof and arginine or a salt thereof is generally 50 mg - 30 g, preferably 100 mg - 10 g, particularly preferably 200 mg - 3 g, for an adult per day based on free citrulline and arginine, which is generally administered in one to several portions a day.
  • the dosing period is not particularly limited, it is generally 1 day - 1 year, preferably 1 week - 3 months.
  • the oral preparation of the present invention can be used not only for human but also for animals other than human (hereinafter to be abbreviated as non-human animal).
  • non-human animal include mammals, birds, reptiles, amphibians, fish and the like, with preference given to mammalian non-human animals.
  • the total amount of citrulline or a salt thereof and arginine or a salt thereof is generally 1 - 600 mg, preferably 2 - 200 mg, more preferably 4 - 60 mg, per kg/day based on free citrulline and arginine, which is generally administered in one to several portions a day.
  • the dosing period is not particularly limited, it is generally 1 day - 1 year, preferably 1 week - 3 months.
  • the oral preparation of the present disclosure can be used for increasing blood flow.
  • the oral preparation of the present disclosure can be used for the prevention or improvement of symptoms caused by decreased blood flow. Examples of the symptoms caused by decreased blood flow include stiff shoulders, sensitivity to cold, swelling, erectile dysfunction and the like.
  • the oral preparation of the present invention can be used for suppressing an increase in blood ammonia level.
  • the oral preparation of the present invention can be used for the prevention or improvement of symptoms caused by increased blood ammonia level.
  • Examples of the symptom caused by increased blood ammonia level include muscle fatigue and feeling of fatigue after exercise and the like. Since the oral preparation of the present invention is rapid-acting, muscle fatigue, feeling of fatigue and the like can be effectively prevented or rapidly recovered by ingestion before and after exercise.
  • citrulline or a salt thereof and arginine or a salt thereof are used for the production of a rapid-acting, blood arginine level-increasing oral preparation.
  • a rapid-acting, blood arginine level-increasing oral preparation can be produced as an oral preparation for increasing blood flow or an oral preparation for the prevention or improvement of symptoms caused by decreased blood flow, or an oral preparation for suppressing an increase in blood ammonia level or an oral preparation for the prevention or improvement of symptoms caused by increased blood ammonia level.
  • the present disclosure encompasses a method of rapid-actingly increasing blood arginine level.
  • the method of the present disclosure includes a step of administering citrulline or a salt thereof and arginine or a salt thereof to a test subject in need of rapid-acting increase in the blood arginine level in amounts sufficient to rapid-actingly increase the arginine blood level of the test subject.
  • the method includes, as a method of rapid-actingly increasing blood flow or a method of rapid-actingly preventing or improving a symptom caused by decreased blood flow, a step of administering citrulline or a salt thereof and arginine or a salt thereof to a test subject in need of increased blood flow or prevention or improvement of the symptom, in amounts sufficient to rapid-actingly increase the blood flow or rapid-actingly prevent or improve the symptom of the test subject.
  • the use of the present invention includes a method of rapid-actingly suppressing an increase in blood ammonia level or a method of rapid-actingly preventing or improving a symptom caused by increased blood ammonia level, which comprises a step of administering citrulline or a salt thereof and arginine or a salt thereof to a test subject in need of suppression of the increase in blood ammonia level or prevention or improvement of the symptom, in amounts sufficient to rapid-actingly suppress the increase in the blood ammonia level or rapid-actingly prevent or improve the symptom of the test subject.
  • the amounts to be used and the like of citrulline or a salt thereof and arginine or a salt thereof used for the above-mentioned production etc. of a rapid-acting, blood arginine level-increasing oral preparation, and the above-mentioned method etc. of rapid-actingly increasing arginine blood level and the like are as mentioned above.
  • the "test subject” includes human and non-human animals.
  • a catheter was indwelled in the jugular vein of each of fifteen 9-week-old male SD rats (Japan slc, Inc.). The rats were preliminarily bred for 3 days and divided into 3 groups. Under non-fasting conditions, L-citrulline and L-arginine were orally administered to the rats of group 1 and group 2, respectively, by a sonde to achieve 2.85 mmol/kg per rat for both (499.3 mg/kg and 496.5 mg/kg, respectively). Moreover, L-citrulline and L-arginine were orally administered to the rats of group 3 by a sonde to achieve 1.43 mmol/kg per rat (250.5 mg/kg and 249.1 mg/kg, respectively).
  • the blood was collected from the jugular vein before administration, and 30 min, 1, 2 and 4 hr after administration.
  • the blood was collected in a 1.5 mL tube containing 1% heparin dispensed thereto in advance, and centrifuged (12000 rpm, 10 min, 4°C) to give plasma. Thereafter, 3% sulfosalicylic acid in the same amount as the plasma was added and blended, and the mixture was stood still on ice for 1 hr and centrifuged (12000 rpm, 10 min, 4°C) to give deproteinized plasma as a sample for analysis. L-arginine in the sample for analysis was quantified using an automatic amino acid analyzer (JOEL JLC-500/V).
  • a significant increase in the maximum drug concentration (C max ) and a shortened maximum drug concentration time (T max ) are observed in group 3 (L-citrulline and L-arginine administration group) at 30 min and 1 hr after administration, as compared to group 1 (L-citrulline administration group) and group 2 (L-arginine administration group).
  • AUC area under the blood concentration-time curve
  • L-citrulline and L-arginine were orally administered to the rabbits of group 1 and group 2, respectively, by a sonde to achieve 2.85 mmol/kg per rabbit for both (499.3 mg/kg and 496.5 mg/kg, respectively).
  • L-citrulline and L-arginine were orally administered to the rabbits of group 3 by a sonde to achieve 1.43 mmol/kg per rabbit (250.5 mg/kg and 249.1 mg/kg, respectively).
  • the blood was collected from the ear vein before administration, and 30 min, 1, 2 and 4 hr after administration, and subjected to quantification of L-arginine, NO metabolite and cGMP in plasma.
  • the blood was collected in a 1.5 mL tube containing 1% heparin dispensed thereto in advance (for quantification of L-arginine) and a disodium ethylenediaminetetraacetate (EDTA-2Na)-added tube (for quantification of NO metabolite and cGMP), and centrifuged (12000 rpm, 10 min, 4°C) to give plasma.
  • EDTA-2Na disodium ethylenediaminetetraacetate
  • sulfosalicylic acid in the same amount as the plasma was added and blended, and the mixture was stood still on ice for 1 hr and centrifuged (12000 rpm, 10 min, 4°C) to give deproteinized plasma as a sample for analysis.
  • L-arginine in the sample for analysis was quantified using an automatic amino acid analyzer (JOEL JLC-500/V), NO metabolite (NO x: NO 2 +NO 3 ) was quantified using a nitrogen oxide analyzer (Eicom ENO10), and cGMP was quantified by high performance liquid chromatography (HPLC) (Amersham Pharmacia RPN226) .
  • JOEL JLC-500/V automatic amino acid analyzer
  • NO x NO 2 +NO 3
  • cGMP was quantified by high performance liquid chromatography (HPLC) (Amersham Pharmacia RPN226) .
  • the blood flow near the ear artery was measured using a laser doppler blood flow analyzer (Laser Doppler Perfusion Imager PIMII).
  • the blood flow was measured at 2 points of 3 cm from the ear artery root and the tip of the artery, and an average was taken.
  • the relative value of each group to the blood flow before administration as 1 was determined and expressed in an amount of increase ( ⁇ blood flow) as compared to that before administration.
  • the plasma L-arginine level after 0.5 hr of group 3 shows a significant difference of P ⁇ 0.05 from group 1.
  • the plasma NO metabolite level after 1 hr of group 3 shows a significant difference of P ⁇ 0.05 from group 1 and group 2.
  • the plasma cGMP level of group 3 after 2 hr shows a significant difference of P ⁇ 0.05 from group 2.
  • the ear artery blood flow of group 3 shows an increase as compared to group 1 (L-citrulline administration group) and group 2 (L-arginine administration group).
  • group 3 L-citrulline and L-arginine administration group
  • group 2 L-arginine administration group
  • Table 2 administration group AUC (nmol ⁇ h/mL) 0-30 min 0-1 hr group 1 1.7 8.1 group 2 27.4 85.8 group 3 55.4 144.0
  • Table 3 administration group AUC (nmol ⁇ h/mL) 0-30 min 0-1 hr group 1 8.1 25.7 group 2 0.3 10.1 group 3 12.1 47.7
  • Table 4 administration group AUC (nmol ⁇ h/mL) 0-30 min 0-1 hr group 1 0.033 0.12 group 2 0.028 0.10 group 3 0.063 0.20
  • group 3 shows an increase in the area under the blood concentration-time curves of all of L-arginine, NO metabolite and cGMP in plasma within 30 min and within 1 hr after administration, as compared to group 1 and group 2.
  • L-Citrulline (68.1 kg), L-arginine (68.1 kg), microcrystalline cellulose (36.0 kg), sucrose fatty acid ester (6.6 kg), calcium phosphate (1.2 kg) and ⁇ -cyclodextrin (20.0 kg) are mixed by a conical blender. The obtained mixture is compression molded in a rotary compression molding machine to give tablets.
  • Example 1 The surface of the tablet produced in Example 1 is coated with a shellac solution to give enteric tablets.
  • L-Citrulline (68.1 kg), L-arginine (68.1 kg), microcrystalline cellulose (36.0 kg), sucrose fatty acid ester (6.6 kg), calcium phosphate (1.2 kg) and ⁇ -cyclodextrin (20.0 kg) are mixed by a conical blender.
  • the obtained mixture (20 kg) and silicon dioxide (0.2 kg) are mixed and stirred.
  • the obtained mixture is fed into a capsule filling machine, and filled in hard capsules to give hard capsules.
  • the surface of the obtained hard capsules is coated with a zein solution to give enteric capsules.
  • L-citrulline (0.64 kg), L-arginine (0.64 kg), erythritol (3 kg), citric acid (0.05 kg), artificial sweetener (3 g) and flavor (0.06 kg) are dissolved in water (50 L, 70°C) by stirring, and the solution is adjusted to pH 3.3 with citric acid.
  • the mixture is sterilized by plate sterilization and filled in a bottle. Then, the bottle is sterilized by pasteurizer to give drink.
  • L-citrulline (1.00 kg), L-arginine (0.28 kg), erythritol(3 kg), citric acid (0.05 kg), artificial sweetener (3 g) and flavor (0.06 kg) are dissolved in water (50 L, 70°C) by stirring, and the solution is adjusted to pH 3.3 with citric acid.
  • the mixture is sterilized by plate sterilization and filled in a bottle. Then, the bottle is sterilized by pasteurizer to give drink.
  • a rapid-acting, blood arginine level-increasing oral preparation capable of increasing arginine blood level rapidly and effectively can be provided.
  • various symptoms caused by decreased blood flow and increased blood ammonia level can be improved in a short time or effectively prevented.

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Claims (3)

  1. Utilisation d'une préparation à usage oral, à action rapide et augmentant le niveau sanguin d'arginine, comprenant de la citrulline ou un sel de celle-ci et de l'arginine ou un sel de celle-ci en tant que principes actifs, pour la prévention ou l'amélioration de la fatigue musculaire ou d'une sensation de fatigue après un exercice,
    dans laquelle le rapport en poids de la citrulline ou d'un sel de celle-ci à l'arginine ou un sel de celle-ci dans la préparation à usage oral est de 1/2 à 2/1, sur la base de la citrulline et de l'arginine libres, et
    à l'exclusion de méthodes de traitement thérapeutique du corps humain ou animal.
  2. Utilisation selon la revendication 1, dans laquelle la préparation à usage oral est adaptée pour être administrée en une quantité totale de citrulline ou d'un sel de celle-ci et d'arginine ou d'un sel de celle-ci de 200 mg à 3 g à un adulte en une seule fois, sur la base de la citrulline et de l'arginine libres.
  3. Utilisation selon la revendication 1 ou 2, dans laquelle la préparation à usage oral est sous la forme d'un kit ou d'une trousse, comprenant une préparation à usage oral comprenant de la citrulline ou un sel de celle-ci en tant que principe actif et une préparation à usage oral comprenant de l'arginine ou un sel de celle-ci en tant que principe actif.
EP17204001.6A 2007-10-10 2008-10-10 Préparation orale à action rapide augmentant le taux d'arginine sanguine et comprenant de la citrulline et de l'arginine Active EP3320895B1 (fr)

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JP2007264090 2007-10-10
PCT/JP2008/068505 WO2009048148A1 (fr) 2007-10-10 2008-10-10 Préparation orale à action rapide pouvant augmenter le taux d'arginine dans le sang contenant de la citrulline et de l'arginine
EP08836945.9A EP2210600B1 (fr) 2007-10-10 2008-10-10 Préparation orale à action rapide pouvant augmenter le taux d'arginine dans le sang contenant de la citrulline et de l'arginine

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EP08836945.9A Active EP2210600B1 (fr) 2007-10-10 2008-10-10 Préparation orale à action rapide pouvant augmenter le taux d'arginine dans le sang contenant de la citrulline et de l'arginine

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PT3321359T (pt) 2005-04-11 2021-03-11 Horizon Pharma Rheumatology Llc Formas variantes de urato-oxidase e a sua utilização
US20120093950A1 (en) * 2010-10-19 2012-04-19 Klrm, Llc Compositions and methods for treating, inhibiting the onset, and slowing the progression of erectile dysfunction including naturally occuring age related erectile dysfunction
JP2013060406A (ja) * 2011-09-15 2013-04-04 Kyowa Hakko Bio Co Ltd 脳疲労改善用経口剤
US9572848B1 (en) * 2014-03-26 2017-02-21 Aemes Research L.L.L.P. Composition of matter for sexual dysfunction
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WO2016167254A1 (fr) * 2015-04-17 2016-10-20 株式会社山田養蜂場本社 Substance nutritive tonique contenant des larves d'abeilles
KR102396603B1 (ko) 2015-09-16 2022-05-11 원광대학교산학협력단 시트룰린을 유효성분으로 함유하는 간 기능 개선용 조성물
JP2016121194A (ja) * 2016-04-05 2016-07-07 協和発酵バイオ株式会社 脳疲労改善用経口剤
WO2018225167A1 (fr) 2017-06-07 2018-12-13 花王株式会社 Promoteur de métabolisme d'ammoniac
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EP2210600B1 (fr) 2017-11-29
CA2967587A1 (fr) 2009-04-16
US20170172962A1 (en) 2017-06-22
CN104248632A (zh) 2014-12-31
US20150320713A1 (en) 2015-11-12
JP2014193919A (ja) 2014-10-09
JPWO2009048148A1 (ja) 2011-02-24
JP6255079B2 (ja) 2017-12-27
US20140100284A1 (en) 2014-04-10
EP3320895A1 (fr) 2018-05-16
EP2210600A1 (fr) 2010-07-28
JP2016121161A (ja) 2016-07-07
US8609735B2 (en) 2013-12-17
EP2210600A4 (fr) 2013-09-18
US9060980B2 (en) 2015-06-23
CA2702045A1 (fr) 2009-04-16
ES2861583T3 (es) 2021-10-06
JP2017081970A (ja) 2017-05-18
CN101820871A (zh) 2010-09-01
CA2967587C (fr) 2019-01-29
US20100292332A1 (en) 2010-11-18
CA2702045C (fr) 2017-07-25
JP5813919B2 (ja) 2015-11-17
JP5872636B2 (ja) 2016-03-01
US9622998B2 (en) 2017-04-18
US10052298B2 (en) 2018-08-21
WO2009048148A1 (fr) 2009-04-16

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